Penobscot Nation Health Departmnt

LBN: Penobscot Indian Nation
Penobscot Nation Health Departmnt is an health care organization with primary practice located at 23 Wabanaki Way , Indian Island ME 04468-1252. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Penobscot Indian Nation can be contacted via phone (207) 817-7400, or through Knox Nicola, Patricia via phone (207) 817-7400.

Contact Information

Primary practice address
23 Wabanaki Way Indian Island ME 04468-1252
Phone: (207) 817-7400
Fax: (207) 817-7452
Website:
Map and Directions
Authorized official contact:
Name: Knox Nicola, Patricia
Phone: (207) 817-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PH50000041 Maine

Profile Details

NPI number 1699788356
LBN Legal business name Penobscot Indian Nation
DBA Doing business as Penobscot Nation Health Departmnt
Authorized official Knox Nicola, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 11th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699788356 NPPES
Maine MEDICAID 106520200
Maine Other 2036350

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